Adam Corgan Roth, PA-C - Medicare Physician Assistant in Gaylord, MI

Adam Corgan Roth, PA-C is a medicare enrolled "Physician Assistant" in Gaylord, Michigan. He went to Western Michigan Un Homer Stryker School Of Med and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Munson Healthcare Otsego Memorial Hospital and his current practice location is 2147 Professional Dr, Gaylord, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 732-1753.

Adam Corgan Roth is licensed to practice in Michigan (license number 5601010658) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619648805.

Contact Information

Adam Corgan Roth, PA-C
2147 Professional Dr,
Gaylord, MI 49735-0003
(989) 732-1753
(989) 731-1425

Map and Direction




Provider's Profile

Full NameAdam Corgan Roth
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location2147 Professional Dr, Gaylord, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam Corgan Roth attended and graduated from Western Michigan Un Homer Stryker School Of Med in 2021
  NPI Data:
  • NPI Number: 1619648805
  • Provider Enumeration Date: 09/27/2021
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517359177
  • Enrollment ID: I20220112000647

Medical Identifiers

Medical identifiers for Adam Corgan Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619648805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601010658 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Healthcare Otsego Memorial Hospital832594253571

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Corgan Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adam Corgan Roth, PA-C
2147 Professional Dr,
Gaylord, MI 49735-0003

Ph: (989) 732-1753
Adam Corgan Roth, PA-C
2147 Professional Dr,
Gaylord, MI 49735-0003

Ph: (989) 732-1753

Reviews and Comments


Physician Assistant Nurses in Gaylord, MI

Mr. Dominic Jerome Giallombardo, MT(ASCP), RN, PA-C
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Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3529    Fax: 989-732-7865
Evan Steven Gravedoni, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1320 M-32, Gaylord, MI 49735
Phone: 989-731-5092    Fax: 989-705-8323
Brittanie Hamlin, PA-C
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Practice Location: 829 N Center Ave, Gaylord, MI 49735
Phone: 989-731-7708    Fax: 989-731-7929
Christopher David Blanchet,
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Medicare: Medicare Enrolled
Practice Location: 994 N Center Ave, Gaylord, MI 49735
Phone: 989-732-7843    Fax: 989-731-4513
John Matthew Lawrence,
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Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave, Suite 210, Gaylord, MI 49735
Phone: 989-731-7860    Fax: 989-731-7833
Kellie Lea Mumford, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2147 Professional Dr, Gaylord, MI 49735
Phone: 989-732-1753    Fax: 989-731-1425
Adam Derek-alan Moffatt, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1951 S Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3284    Fax: 989-732-6395

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.